Increased Soluble Fibrin in Plasma of Patients with Disseminated Intravascular Coagulation

Plasma levels of soluble fibrin (SF) were measured in 1184 patients with disseminated intravascular coagulation (DIC) according to Japanese Ministry of Health and Welfare (JMHW) criteria. The usefulness of SF for the diagnosis of DIC was compared with other hemostatic molecular markers. Most hemosta...

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Veröffentlicht in:Clinical and applied thrombosis/hemostasis 2003-07, Vol.9 (3), p.233-240
Hauptverfasser: Wada, Hideo, Sase, Tomohiro, Matsumoto, Takeshi, Kushiya, Fumihiko, Sakakura, Miho, Mori, Yoshitaka, Nishikawa, Masakatsu, Ohnishi, Katsuya, Nakatani, Kaname, Gabazza, Esteban C., Shiku, Hiroshi, Nobori, Tsutomu
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container_issue 3
container_start_page 233
container_title Clinical and applied thrombosis/hemostasis
container_volume 9
creator Wada, Hideo
Sase, Tomohiro
Matsumoto, Takeshi
Kushiya, Fumihiko
Sakakura, Miho
Mori, Yoshitaka
Nishikawa, Masakatsu
Ohnishi, Katsuya
Nakatani, Kaname
Gabazza, Esteban C.
Shiku, Hiroshi
Nobori, Tsutomu
description Plasma levels of soluble fibrin (SF) were measured in 1184 patients with disseminated intravascular coagulation (DIC) according to Japanese Ministry of Health and Welfare (JMHW) criteria. The usefulness of SF for the diagnosis of DIC was compared with other hemostatic molecular markers. Most hemostatic markers were significantly increased in patients with DIC than in those without DIC. Plasma levels of fibrin and fibrinogen degradation products, thrombin-antihtrombin complex, plasmin-plasmin inhibitor complex, D-dimer, thrombomodulin, and SF levels were also significantly higher in those with pre-DIC than in those without DIC. In classification of overt DIC by International Society of Thrombosis and Haemostasis (ISTH) criteria, most hemostatic markers were significantly increased in patients with overt DIC than in those without overt DIC. Plasma levels of SF 'in patients with DIC were significantly higher than those in patients with pre-DIC, which were significantly higher than in those without DIC. Plasma levels of SF were also significantly higher in patients with overt DIC than in those with non-overt DIC. The correlation between plasma SF levels and DIC score according to JMHW criteria or ISTH criteria was good. Receiver operating characteristic analysis shows that SF was the best marker for the diagnosis of DIC or overt DIC. These findings suggest that plasma SF might be useful marker for the diagnosis of DIC or overt DIC.
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The correlation between plasma SF levels and DIC score according to JMHW criteria or ISTH criteria was good. Receiver operating characteristic analysis shows that SF was the best marker for the diagnosis of DIC or overt DIC. 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subjects Biomarkers - blood
Disseminated Intravascular Coagulation - blood
Fibrin - metabolism
Hematologic Neoplasms - blood
Humans
Infection - blood
Plasma
Platelet Count
Reference Values
Reproducibility of Results
ROC Curve
title Increased Soluble Fibrin in Plasma of Patients with Disseminated Intravascular Coagulation
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